Re: ASC-US pap

From: Efrain Ramirez (eramirezt@coqui.net)
Mon Aug 2 07:50:25 2004


Agree..

>At Sat, 31 Jul 2004, Braun, R. Daniel wrote:
>
>Vaginal Hysterectomy ????
>
>Dan
>
>R. Daniel Braun, MD
>
>"If everyone likes you, you're doing something wrong."
>
>Kinky Friedman
>
>I believe a self-righteous liberal or conservative with a cause is more
>dangerous than a Hell's Angel with an attitude.
>
>Andy Rooney
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
>E. Siegel, M.D.
>Sent: Friday, July 30, 2004 8:02 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: GYN: ASC-US pap
>
>44 YO P0 comes in today for opinion regarding her paps and
>contraception.
>
>She has multiple sclerosis, and is relative well off/not symptomatic.
>She is cool on the birth control pill, but wants to be off before she
>has to due to the possibility of having to take MS meds which may
>conflict.
>
>She had cryo years ago, unclear diagnosis (abnormal paps is all she
>knows). Her cervix is pinpoint and I cannot pass an endocervical brush.
>
>11/02 Pap ASC-US, HPV High Risk +; no colpo done
>2/03 Pap WNL
>11/03 Pap WNL
>4/04 Pap ASC-US, HPV negative
>
>She now wants an LTL.
>
>I also discussed Mirena, with my only concern being pain of insertion
>(and difficulty, too) due to prior cryo in a nulliparous patient.
>
>How would you handle her pap and contraceptive needs?
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)





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